| Advanced Wound Therapy - Idaho, Pllc | |
|
1224 N Idaho St Ste 9 Post Falls ID 83854-9024 | |
| (918) 592-0920 | |
| Not Available |
| Full Name | Advanced Wound Therapy - Idaho, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1224 N Idaho St Ste 9, Post Falls, Idaho |
| Authorized Official Name and Position | Whitney Hardesty (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9188031190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Therapy - Idaho, Pllc 2488 E 81st St Ste 2000 Tulsa OK 74137-4224 Ph: (918) 592-9020 | Advanced Wound Therapy - Idaho, Pllc 1224 N Idaho St Ste 9 Post Falls ID 83854-9024 Ph: (918) 592-0920 |
| NPI Number | 1619863404 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619863404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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